11 May 2023
During an inspection looking at part of the service
OSJCT Longlands is a residential care home providing accommodation and personal care to up to 48 people. The service provides support to older people, some who are living with dementia, in one adapted building. At the time of our inspection there were 45 people using the service.
People’s experience of using this service and what we found
Not all known risks had been assessed or mitigating strategies implemented to keep people safe from harm. People were at increased risks of skin pressure damage and risks from their health conditions. Staff had not always received appropriate training to understand people’s health conditions.
Medicine management required improvement to ensure people received their medicines as prescribed.
Care plans and risk assessments were not always kept up to date and factual. We found conflicting information had been recorded. Staff did not always have the information to support people safely.
Unexplained injuries had not always been investigated to identify a cause and reduce the risk of reoccurrence.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.
Oversight of the service required improvement. Systems and processes were not always effective in identifying improvements needed and mitigation of risks.
People and relatives had not been asked to feedback on the service. However, staff had completed annual feedback surveys, had regular supervisions, and were offered regular meetings.
People were supported by staff who had been safely recruited and who had completed an induction before working at OSJCT Longlands. Staff felt supported within their roles.
People told us they felt safe at OSJCT Longlands and were supported by staff who were kind. Relatives were positive about the support staff offered people. People and relatives told us they felt safe.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 25 December 2018)
Why we inspected
We received concerns in relation to staff understating people’s needs. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for OSJCT Longlands on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have identified breaches in relation to risk management, medicine records and management oversight at this inspection.
We have made a recommendation regarding understanding the Mental Capacity Act and Deprivation of Liberty Safeguards.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.